HomeMy WebLinkAbout516 E 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
.5
u!0
Applicatj.orl Number
Application pin nuniber
Property Address
ASSESSOR PARCEL NWBER:
Appf ication t)'pe descriptio[
Subdivis ion' Name
Property Use
Property Zoning
Application valuatsion
19- 00000384 Date
200950
516 E 5TH ST
06- 30- 00 -0 - 2 - 0425 - 0000 -
EI,ECTRICAI, ONI,Y
REPORT STATE SATES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
3 /te /t9
RESIDEIflIIA], HIGH DENSITY
0
Applicatron desc
Ductless heat pump
ConEractor
STIPTIANI & ANTHONY I,ATZEIJ
PO BOX 297
YAKUTAT AK 9968 9(907) 410 - 7o1o
418 N. RACE ST,
PORT ANGELES
136A) 45'7 -5222
ELECT
WA
, LLC
943 62
&
Permi. t
Additional desc
Permit Fee
Tssue Datse
Expiration Date
58.00
3 / 1-9 / 19
s/t5/19
Plan Check Eee
valuation
EIECTRTCAi ALTER RESIDENT] AI,
00
0
Qty UniE Charge Per1.00 5.0000 ECr{1.00 63 .0000 EcH
EL.ECH ADDNT BRANCII CIRCUIT
EII'R- BRANCII CIR WOl SER FEED
Extension
5.00
63 .00
Fee summary Charged Paid Credited Due
PermlE t'ee IoEa'L
Plan Check ToEal
crand ToEaI
58. O0
.00
58 .00
58 .00
.00
68 .00
.00
.00
.00
.00
.00
.o0
PERMM WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH.IN z lrzl,t K EP
FINAL z )n-Jn #w
COMMENTS;
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and lJtilities Departrnent
12l E.5!h Street, PortAngeles, WA98362
360 -417.4735 i wrvrv.cityolpa.us i eiectricalpermits@cityoflpa.us
5( ! e B7- 6" Sl,--.-+
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Projecl Address:
C t'.t c ,Ll
o* 3lf6
u/,1 FT
D Duplex /ARU Building Square footage:
Name:Email:
Maiting Addregs: 5/ b Z4; f' t,4 9 l--e.^J Phone:
Name:€K+LE Te Ucense:
//)
Mailing Address:
Email:
6Z Expiration Oale: /-16-20t1
Phone:4Go-4t l -r33I
lbm
Ssrvic€r'Feeder 200 Amp.
service/Feeder 201-4{PAmp-
SerYicdFeeder,ml$00Amp
Servic€r'Feeder 601-tfiD Anp.
Servicer'Feed€r over l00O Anp.
Branch CirqJit tM Se.vice Feeder
Braodr Circuit \tro Sewice Fe€der
Each Addiuonal BBnch Circuil
Branch Ci.uils l-4
Temp. Se(vire,/Feeder 200 Arnp.
Temp Servic€/Feeder 201-400 Afip-
Temp- Serlice/Feed$ /O15{rc A'Ip.
Temp. Service,,Feed$ 80i-t 0OO Ainp
Portal to Podal Hourty
S6nal CiroJiulimited Energy - 1&2 DU.
Marufac{rrEd Honte Coonect'En
Renewabb Ekc. EneeI st(/A SysiFm or less
Thermostat (llote: $5 br 6adr additional)
FrBt 1@ Square Fed
.. Eaon A.tdtbnal 500 squae toet"
. Ee$ ollbuldr€ / Deb.hcd Garage
Edr Sx,imrhg Pool I Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.m
$373.@
$5.00
$63 00
$5.00
$75 00
$93 00
$110.m
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120-00
$40.00
g./4.0O
3110.00
Ouantitv treEl (Qrantty r Unit charge]
G7."d
5,,a
__1-
l
5
$
D
$
$
I
s
s
iD
u
$
s
$
!
iD
$
$
$
5
sTOTAL --/"V,--d-
Owner as dsfined by RCt 11928-261: (1) Ownerw]l occupy the suudure for tr,vo years after this ele.trical permit is |tnarized- {2} Otner is
required to hire an electrical contrador if above said Eoperty is ior salg. rE..rt qr l6ase. Permit expires afler six mor hs ot last inspection-
Afler reading the above stalemeflt, I hereby cenjry thst I am tie o$,ner ofthe above named prpperty or a lirnsed electical contaclor I
am rnaking the eEcti.al installation or atteration in compliance ryih lhe electricsl la!^6, N-E.C-, RA,V. Chapter 19.28, fitAc- Chapter 296-
468, The Oty ol PodAngeles Code, and Utlity Specfications and PAMC 14,05.050 regarding Eleclrical PermitApplicatrons,
*,zf/*.*-/7-t 7 -i
Date Print Name Signature (E Owner Contractor / Administrator)
[Electrical Permit Applications may be submitted to City HaI or electricalpermits@cityofpa us or fared lo 360.417 .47111
lr,J.l-J
.